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[Experience with surgery for varicocele in childhood (author's transl)]
Insights
High ligature of the internal spermatic vein effectively treated varicocele in most children, with few complications. Persistent varicoceles may require a second surgery to ligate collateral veins.
Area of Science:
- Pediatric Surgery
- Urology
Context:
- Varicocele is a common condition in children.
- Surgical intervention is often necessary for symptomatic varicoceles.
- High ligature of the internal spermatic vein is a recognized surgical technique.
Purpose:
- To evaluate the outcomes of high ligature of the internal spermatic vein in children with varicocele.
- To assess the efficacy and complication rates of this surgical method.
Summary:
- A study re-examined 48 children post-high internal spermatic vein ligature for varicocele.
- Complete varicocele resolution occurred in 62.5% of patients.
- Postoperative hydrocele occurred in 2.1%, and persistent varicocele in 37.5%.
Impact:
- High ligature of the internal spermatic vein is a safe and effective treatment for childhood varicocele.
- A significant majority of patients experience complete resolution.
- Further surgical intervention may be needed for persistent cases, addressing collateral veins.
Abstract:
48 children who underwent high ligature of the internal spermatic vein for varicocele were re-examined. In one patient (2,1%) a hydrocele appeared postoperatively. In 30 boys (62,5%) the varicocele disappeared completely following surgery, in 18 patients (37,5%) the varicocele persisted which was in 9 boys only palpable and in another 9 boys clearly visible. High spermatic vein ligature according to Bernardi turned out to be a method providing good postoperative results and with few complications in childhood. In the case of persisting varicocele collateral veins should be considered and ligated in a second operation.